Active NPI
Laurie Keogh, MPH, PA-C
- Medical Physician Assistant
- Saint Paul, NE
National Provider Identifier
1336509181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2001
- Practice address
- 1113 Sherman St
Saint Paul, NE 68873-1546 - Phone
- (308) 754-4421
- Fax
- (308) 754-4429
- NPI assigned
- Mar 7, 2016
- Last updated
- Mar 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2001 | NE | Primary |
Addresses
Primary practice location
1113 Sherman St
Saint Paul, NE 68873-1546
Mailing address
1113 Sherman St
PO Box 406
Saint Paul, NE 68873-1546
Phone (308) 754-4421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001 | NE | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457308800000",
"number": "1336509181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 SHERMAN ST",
"address_2": "PO BOX 406",
"city": "SAINT PAUL",
"state": "NE",
"postal_code": "688731546",
"telephone_number": "308-754-4421",
"fax_number": "308-754-4429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 SHERMAN ST",
"city": "SAINT PAUL",
"state": "NE",
"postal_code": "688731546",
"telephone_number": "308-754-4421",
"fax_number": "308-754-4429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEOGH",
"first_name": "LAURIE",
"name_prefix": "Ms.",
"credential": "MPH, PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-07",
"last_updated": "2016-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NE",
"license": "2001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.